可调控眉毛密度的眉再造术同时治疗瘢痕性秃发  

Application of controllable hair density of eyebrow reconstruction with the treatment of scar baldness during the same operation stage

作　　者：万睿 庞星原 Wan Rui , Pang Xingyuan(Department of Plastic Surgery, Tongren Hospital of Wuhan University （Wuhan Third Hospital）, Wuhan 430060, China)

机构地区：[1]武汉大学同仁医院暨武汉市第三医院整形外科,430060

出　　处：《中华医学美学美容杂志》2018年第5期361-363,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：武汉市卫计委科研项目（WX15B04）

摘　　要：目的探讨一种可调控眉毛密度的眉再造，同时修复瘢痕性秃发的手术效果。方法2012年10月至2016年7月，武汉市第三医院整形外科收治单侧眉毛缺失伴瘢痕性秃发患者12例。一期手术在眉毛缺损同侧头皮下沿颞浅动脉走行方向埋置扩张器，其余在瘢痕性秃发周围埋置扩张器；扩张后头皮毛发密度与健侧接近时行二期手术。二期手术制备岛状头皮瓣，将扩张后头皮瓣转移至患侧眉缺损区域进行眉毛修复。头部瘢痕切除后，头皮扩张皮瓣转瓣修复瘢痕性秃发。结果12例患者岛状头皮瓣全部成活，无1例皮瓣坏死。再造眉毛毛发密度与健侧接近，无过度浓密、无过度稀疏，秃发全部修复，患者对手术效果满意。结论可调控眉毛密度的眉再造术同期治疗瘢痕性秃发，既可适度调控毛发密度，又可同期修复瘢痕性秃发，方法简单易行、效果好。Objective To explore a method of eyebrow reconstruction which can control eye- brows, and to repair scar baldness in the same operation stage. Methods Operations were performed in two stages. In the first stage, an expander was placed under the scalp at the same side of the defect eyebrow through the direction of the superficial temporal artery. Other expanders were placed around the scar baldness. After the incision healed, water was injected into the expander. During the expansion, the scalp hair density was approaching the uninjured eyebrow side. Then the second stage operation was prepared： an island flap with superficial temporal artery as axial artery was harvested and the expander was extracted. The subcutaneous tunnel was made in the temporal region of the eyebrow de- fect side. The expanded superficial temporal artery island scalp flap was passed through the tunnel and transferred to the defect eyebrow area to repair the eyebrow. After incising the scar baldness, the left expanded scalp flaps were transferred to cover the wound. Results 12 patients underwent this method of eyebrow reconstruction with scar baldness, all island scalp flaps survived, with no case of flap nec- rosis. After 6-24 months of follow-up, the hair density of the reconstructed eyebrows was very close to that of the uninjured side, without excessive thickening or excessive rarefaction. The scalp scars were small and can be shaded by the hair. All patients were satisfied with the operation. Conclusions The method of controllable hair density of eyebrow reconstruction with the treatment of scar baldness has good effects on reconstructing eyebrow defect and scar baldness. It is simple, economic and suitable for further application.

关 键 词：眉毛 瘢痕性秃发 外科手术 眉再造 

分 类 号：R622[医药卫生—整形外科]